Michael S Cannizzaro, PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1202944 Issued in NU

Practice address

489 Main Street
University of Vermont Pomeroy Hall
Burlington, VT 05405-0130

Phone

(802) 656-3861

Fax

(802) 656-2528

NPI assigned

Mar 13, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1972636967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 MAIN STREET",
            "address_2": "UNIVERSITY OF VERMONT POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 MAIN STREET",
            "address_2": "UNIVERSITY OF VERMONT POMEROY HALL",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054050130",
            "telephone_number": "802-656-3861",
            "fax_number": "802-656-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNIZZARO",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "002958",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": "1202944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00069242",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4148154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brendan Murphy Campbell, MD
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• Sarah Campbell, CD, CCBE
• Susan Kathryn Campbell, MD
• David Ryan Cannata, MD
• Canopy Psychology LTD
• George Cao, MD
• Allison Holley Capeless
• Eleanor Lacava Capeless, M.D.
• Mark Atlee Capeless, M.D.

• Speech-Language Pathologist in Burlington, VT
• Providers in Burlington, VT by specialty
• Speech-Language Pathologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.